Individual
MARINA NICOLE MAGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4365 CHIPPEWA ST, SAINT LOUIS, MO 63116-1606
(314) 832-2480
(314) 832-2498
Mailing address
4365 CHIPPEWA ST, SAINT LOUIS, MO 63116-1606
(314) 832-2480
(314) 832-2498
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2021050240
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2021050240
MISSOURI BOARD PHARMACY
MO
Enumeration date
12/30/2021
Last updated
12/30/2021
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